PACSAC 2020 Member Farm Registration

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There are several sections to this registration. Please be prepared to:

1. Provide your farm's contact information.
2. Describe your CSA offerings in 2020 (estimates are OK).
3. Write a description of your farm for portlandcsa.org.
4. Report your 2019 referrals from the CSA Share Fair and portlandcsa.org directory.
5. Report your 2019 CSA Sales figures.

This information is critical for the Coalition's programming, including:
- Farm listings in our website directory (www.portlandcsa.org)
- CSA Share Fair
- Brochures and other marketing and outreach material
- SNAP (formerly food stamps) and Double Up Food Bucks payment processing
- Grant applications and reporting

Please take the time to be accurate and thorough.

Email *

Farm name *

Phone number *

Website

Farm address *

Farm City *

Farm State *

Farm zip code *

Do not publicly share my

phone number

farm's full address

Primary first name *

Primary last name *

Primary email *

Primary phone *

Backup first name

Backup last name

Backup email

Backup phone

Mailing street address *

Mailing city *

Mailing zip code *

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